A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads
Myopotential oversensing in implantable defibrillators causing inhibition of pacing and inappropriate therapies is well described. Current literature is dominated by reports of diaphragmatic muscle as the source of such far-field oversensing. Those reporting pectoral muscle sources were invariably d...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2008-11-01
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| Series: | Indian Pacing and Electrophysiology Journal |
| Subjects: | |
| Online Access: | http://www.ipej.org/0804/salukhe.htm |
| _version_ | 1811240048303013888 |
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| author | Tushar V Salukhe Ian Wright Matthew Wright Prapa Kanagaratnam Mark D O'Neill |
| author_facet | Tushar V Salukhe Ian Wright Matthew Wright Prapa Kanagaratnam Mark D O'Neill |
| author_sort | Tushar V Salukhe |
| collection | DOAJ |
| description | Myopotential oversensing in implantable defibrillators causing inhibition of pacing and inappropriate therapies is well described. Current literature is dominated by reports of diaphragmatic muscle as the source of such far-field oversensing. Those reporting pectoral muscle sources were invariably due to unipolar sensing circuits, incorrect DF-1 connections or inappropriate programming. We report an interesting case of pectoral muscle myopotential oversensing causing inhibition of bradycardia pacing leading to presyncope and syncope. |
| first_indexed | 2024-04-12T13:12:30Z |
| format | Article |
| id | doaj.art-ee9dfb3812f743fb911759ecc2872285 |
| institution | Directory Open Access Journal |
| issn | 0972-6292 |
| language | English |
| last_indexed | 2024-04-12T13:12:30Z |
| publishDate | 2008-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Pacing and Electrophysiology Journal |
| spelling | doaj.art-ee9dfb3812f743fb911759ecc28722852022-12-22T03:31:50ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922008-11-0184312316A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator LeadsTushar V SalukheIan WrightMatthew WrightPrapa KanagaratnamMark D O'NeillMyopotential oversensing in implantable defibrillators causing inhibition of pacing and inappropriate therapies is well described. Current literature is dominated by reports of diaphragmatic muscle as the source of such far-field oversensing. Those reporting pectoral muscle sources were invariably due to unipolar sensing circuits, incorrect DF-1 connections or inappropriate programming. We report an interesting case of pectoral muscle myopotential oversensing causing inhibition of bradycardia pacing leading to presyncope and syncope.http://www.ipej.org/0804/salukhe.htmMyopotential oversensingimplantable defibrillatorsinhibition of pacinginappropriate therapy |
| spellingShingle | Tushar V Salukhe Ian Wright Matthew Wright Prapa Kanagaratnam Mark D O'Neill A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads Indian Pacing and Electrophysiology Journal Myopotential oversensing implantable defibrillators inhibition of pacing inappropriate therapy |
| title | A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads |
| title_full | A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads |
| title_fullStr | A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads |
| title_full_unstemmed | A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads |
| title_short | A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads |
| title_sort | fortuitous syncope the pitfalls of integrated bipolar defibrillator leads |
| topic | Myopotential oversensing implantable defibrillators inhibition of pacing inappropriate therapy |
| url | http://www.ipej.org/0804/salukhe.htm |
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